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[阑尾切除术后危及生命的直肠出血]

[Life-threatening postoperative rectal hemorrhage after appendectomy].

作者信息

Nørgaard M A, Lindholt J

机构信息

Parenkymkirurgisk afdeling, Centralsygehuset Slagelse.

出版信息

Ugeskr Laeger. 1994 Aug 22;156(34):4835-6.

PMID:7992420
Abstract

A case of life-threatening haemorrhage nine days after appendicectomy is described in a 51 year old previously healthy man. Coecotomy revealed a bleeding artery near the invaginated appendiceal stump. The bleeding artery was presumably an intramural branch to the appendix from the posterior coecal artery that had not been included in the primary appendiceal ligature. This artery was presumably electrocoagulated during the appendicectomy but bleeding ensued when the coagulated tissue sloughed.

摘要

一名51岁既往健康的男性患者,阑尾切除术后九天出现危及生命的出血情况。剖腹探查发现套叠阑尾残端附近有一条出血动脉。这条出血动脉可能是回盲后动脉的阑尾壁内分支,在初次阑尾结扎时未被结扎。这条动脉可能在阑尾切除术中已被电凝,但当凝血组织脱落时仍发生出血。

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